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8 Cards in this Set
- Front
- Back
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What is the purpose of the prescribing pyramid
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Seven principles of good
prescribing Writing a prescription starts a process which will have an impact on the patient, the prescriber and the NHS. As this process is often complex, it is important to consider all relevant factors before deciding to prescribe. Models such as the prescribing pyramid help structure decision making. |
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The prescribing pyramid reflects the seven principles of good prescribing
1. Consider the patient. What does this mean? |
Consideration of the holistic needs, including medical and social history can help in decision-making, the drug history, including over-the-counter medication should be included along with allergies and sensitivities
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The prescribing pyramid
2 which strategy? What does this mean? |
Treatment options other than prescribing should be considered, including offering explanation, reassurance, bying of OTC medication. The practitioner needs to discover and acknowledge the expectations of the patient
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The prescribing pyramid
3. Consider the choice of product what does this mean? |
The national prescribing centre suggests the use of the mnemonic EASE
E. = How effective is the product. A.= Is it appropriate for this patient S. = How safe is it? E. = Is the prescription cost effective |
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The prescribing pyramid
4. Negotiate a contract what does this mean? |
Negotiating a contract. Prescribing should be viewed as a shared decision making between the patient and prescriber effective communication apart prescriber is essential to ensure that the patient understands what the prescription is for,
-what is the prescription for? -How long does it take to work? -How is the medication taken dose etc? -How long is the medication taken for? -Explanation of any potential side-effects |
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The prescribing pyramid
5. Review the patient. What does this mean? |
It is not good practice to repeat prescriptions without regular patient review,Acknowledgement of the level of personal accountability for signing prescriptions should not be underestimated.
Then maybe variations in policy in different clinical settings. However, clinicians have a responsibility which goes beyond the initial prescribing decision should ensure that they are involved in practice, discussions on repeat prescribing policy and mid medications management |
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The prescribing pyramid
6. Record keeping what are your responsibilities? |
Keep records. The NMC guidelines on record-keeping outline the standards expected of all nurses and there are additional requirements for nurse prescribers to record their prescriptions in GP records within 48 hours similar standards expected of pharmacist prescribers. It is essential to know your local policy
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The prescribing pyramid
7. Reflect how does this help? |
Reflecting on prescribing decisions both alone and with colleagues, possibly within the context of clinical supervision will help practitioners to improve and develop their prescribing practice.
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